European Journal of Internal Medicine
Volume 19, Issue 8 , Pages 613-618 , December 2008

Are ascitic electrolytes usable in cirrhotic patients? Correlation of sodium, potassium, chloride, urea, and creatinine concentrations in ascitic fluid and blood

  • Eric Nguyen-Khac

      Affiliations

    • Service d'Hépato-Gastroentérologie CHU Amiens, France
    • Service d'Hépato-Gastroentérologie CH Cambrai, France
    • Corresponding Author InformationCorresponding author. Service d'Hépato-Gastroentérologie, Amiens University Hospital, Place Victor Pauchet, Amiens 80054 cedex, France. Tel.: +33 3 2266 7960; fax: +33 3 2266 7947.
    • ,
  • Thierry Thevenot

      Affiliations

    • Service d'Hépato-Gastroentérologie CHU Besancon, France
    • Service d'Hépato-Gastroentérologie CH Cambrai, France
    • ,
  • Dominique Capron

      Affiliations

    • Service d'Hépato-Gastroentérologie CHU Amiens, France
    • ,
  • Sébastien Dharancy

      Affiliations

    • Service d'Hépato-Gastroentérologie CHU Lille, France
    • ,
  • Thierry Paupart

      Affiliations

    • Service d'Hépato-Gastroentérologie CH Dunkerque, France
    • ,
  • Dominique Thabut

      Affiliations

    • Service d'Hépato-Gastroentérologie CHU Pitié Salpêtrière, France
    • ,
  • Catherine Tiry

      Affiliations

    • Laboratoire polyvalent CH Cambrai, France

Received 30 March 2007 ,Accepted 6 July 2007.

References 

  1. Runyon BA. Management of adult patients with ascites caused by cirrhosis. (AASLD practice guidelines). Hepatology. 1998;27:264–272
  2. Moore KP, Wong F, Gines P, Bernardi M, Ochs A, Salerno F, et al. The management of ascites in cirrhosis: report on the consensus conference of the international ascites club. Hepatology. 2003;38:258–266
  3. Conférence de consensus . Complications de l'hypertension portale chez l'adulte. Gastroenterol Clin Biol. 2004;28:135–152
  4. Arroyo V, Gines P, Gerbes AL, Dudley FJ, Gentillini P, Laffi G, et al. Definition and diagnostic criteria of refractory ascites and hepatorenal syndrome in cirrhosis. Hepatology. 1996;23:164–176
  5. Gregory PB, Broekelschen PH, Hill MD. Complications of diuresis in the alcoholic patient with ascites: a controlled trial. Gastroenterology. 1977;73:534–539
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  7. Martinez Ballarin E, Escanero Marcen JF, Nuviala Mateo R, Araiz Burdio JJ, Martinez-Berganza Asensio A. Comparacion de parametros bioquimicos sanguineos y de liquidos asciticos en la cirrosis hepatica. Rev Esp Enferm Apar Dig. 1986;3:245–248
  8. Mukherjee N, Shaw G, Ponda S, Chakrabarty B, Biswas TK, Lahiri S. Study of ascitic fluid in relation to systemic and portal venous blood in hepatic cirrhosis. J Indian Med Assoc. 1991;89:203–205
  9. Kelton JG, Ulan R, Stiller C, Homes E. Comparison of chemical composition of peritoneal fluid and serum: a method for monitoring dialysis patients and a tool for assessing binding to serum proteins in vivo. Ann Intern Med. 1978;89:67–70
  10. Selgas Gutierrez R, Lorenzo Aguiar D, Rivero Sanchez M, Beberide Garcia JM, Casares Fernandez M, Miguel Alonso JL, et al. Comparative biochemical study of serum and residual peritoneal fluid in periodic peritoneal maintenance dialysis. Med Clin. 1981;77:205–208
  11. Manahan KJ, Fanning J. Peritoneal fluid urea nitrogen and creatinine reference values. Obstet Gynecol. 1999;93:780–782
  12. Greenway CV, Lautt WW. Effects of hepatic venous pressure on transsinusoidal fluid transfer in the liver of the anaesthetized cat. Circ Res. 1970;26:697–703
  13. Huet PM, Goresky CA, Villeneuve JP, Marleau D, Lough JO. Assessment of liver microcirculation in human cirrhosis. J Clin Invest. 1982;70:1234–1244
  14. Witte CL, Witte MH, Cole WR, Chung YC, Bleisch VR, Domont AE. Dual origin of ascites in hepatic cirrhosis. Surg Gynecol Obstet. 1969;129:1027–1033
  15. Garcia-Tsao G, Conn HO, Lerner E. The diagnosis of bacterial peritonitis: comparison of pH, lactate concentration and leukocytes count. Hepatology. 1985;5:91–96
  16. Runyon BA, Canawati HN, Akriviadis EA. Optimization of ascitic fluid culture technique. Gastroenterology. 1988;95:1351–1355
  17. Guarner C, Sola R, Soriano G, Andreu M, Novella MT, Vila MC, et al. Risk of a first community-acquired spontaneous bacterial peritonitis in cirrhotics with low ascitic fluid protein levels. Gastroenterology. 1999;117:414–419
  18. Thevenot T, Cadranel JF, Nguyen-Khac E, Tilmant L, Tiry C, Welty S, et al. Diagnosis of spontaneous bacterial peritonitis in cirrhotic patients by use of two reagent strips. Eur J Gastroenterol Hepatol. 2004;16:579–583

☆ The authors state that there is no conflict of interest.

PII: S0953-6205(08)00110-6

doi: 10.1016/j.ejim.2007.07.011

European Journal of Internal Medicine
Volume 19, Issue 8 , Pages 613-618 , December 2008

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